The nurse explains to the client that therapy will be a long process. Which is a realistic outcome for a client with a personality disorder engaging in therapy?

Outcomes that focus on change in behavior

Outcomes that focus on satisfaction with daily life

Outcomes that focus on increased medication adherence

Outcomes that focus on the client's perception of others

Answer and Explanation

The Correct Answer is A

A. Outcomes that focus on change in behavior: Therapy for personality disorders emphasizes gradual behavioral change, such as improved coping skills, communication, and interpersonal interactions. These measurable and realistic goals are central to treatment.

B. Outcomes that focus on satisfaction with daily life: While improved life satisfaction may occur over time, it is not a primary or realistic early outcome because personality disorders involve deeply ingrained patterns that change slowly.

C. Outcomes that focus on increased medication adherence: Medications may help with symptom management, but they are not the core treatment for personality disorders. The focus is on psychotherapy and behavioral modification.

D. Outcomes that focus on the client's perception of others: Altering deep-seated perceptions and beliefs is difficult and not a realistic short-term outcome. Behavioral adjustments are more achievable than changing ingrained cognitive patterns.

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Correct Answer is B

Explanation

A. High self-awareness: Clients with personality disorders often have limited insight into their behaviors and how these affect others. They may not recognize their maladaptive patterns, making high self-awareness uncommon in this population.

B. Impaired relationships: Personality disorders are marked by enduring maladaptive patterns of behavior and cognition, which significantly disrupt interpersonal functioning and lead to unstable, strained, or impaired relationships.

C. Empathy for others: Many personality disorders, especially antisocial or narcissistic types, involve difficulty with empathy. Even in other types, clients may be so preoccupied with their own distress that empathy is diminished.

D. Motivation to change: Clients with personality disorders often lack motivation to change because they do not perceive their behavior as problematic. Change typically occurs only when external pressures, such as legal, social, or health consequences, force them to seek help.

A. Borderline B. Schizoid C. Narcissistic D. Histrionic

Correct Answer is C

Explanation

A. Borderline: Borderline personality disorder is associated with unstable mood, intense fear of abandonment, impulsivity, and self-destructive behaviors. While these clients may struggle with relationships, they do not exhibit grandiosity or an excessive need for admiration.

B. Schizoid: Schizoid personality disorder involves emotional detachment, preference for solitary activities, and limited expression of emotions. Clients with this disorder avoid social interactions but do not display traits of grandiosity or admiration-seeking.

C. Narcissistic: Narcissistic personality disorder is characterized by an inflated sense of self-importance, constant need for admiration, and lack of empathy toward others. These clients often exploit relationships for personal gain and require recognition to maintain self-esteem.

D. Histrionic: Histrionic personality disorder is marked by excessive emotionality, attention-seeking behavior, and dramatic expression. While they crave approval, they do not exhibit the pervasive grandiosity and lack of empathy that define narcissistic personality disorder.

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The nurse explains to the client that therapy will be a long process. Which is a realistic outcome for a client with a personality disorder engaging in therapy?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When working with a client with a personality disorder, the nurse would expect to find:

Correct Answer is B

Explanation

Which personality disorder is characterized by a pervasive pattern of grandiosity, need for admiration, and a lack of empathy?

Correct Answer is C

Explanation

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